PD-2A/4 FORM CONTENTS:

THE STATE EDUCATION DEPARTMENT THE UNIVERSITY OF THE STATE OF NEW
YORK / ALBANY, NY 12234
_____________________________________________________________________________________________________________________________
MANAGER, STRATEGIC EVALUATION DATA COLLECTION, ANALYSIS AND REPORTING
1613 ONE COMMERCE PLAZA
ALBANY, NEW YORK 12234
Tel. (518) 474-7965
Fax: (518) 408-3363
Email: dataquest@nysed.gov

To:

Special Education Data Managers
and Chief School Officers of Special Act School Districts and Approved
Private Schools Located in New York State that Provide Education Services to
Students with Disabilities Pursuant to Article 81 of the Education Law.

Date: October 2006

From:

Inni Barone

Subject:

PD-2A/4 – Special
Act School Districts and In-State Approved Private Schools that Provide
Education Services to Students with Disabilities Pursuant to Article 81 of
the Education Law Report: Number of Students with Disabilities Provided
Special Education on December 1, 2006 and the Settings in Which Special
Education Programs and/or Services are Provided.

Important: Due Date
between December 1 and December 15, 2006.

Attached is the PD-2A/4 form to be used to report the count of school-age
students with disabilities placed in your school by a public school district and
students with disabilities provided special education programs and/or services
pursuant to Article 81 of the Education Law, on December 1, 2006. This report
also requests the settings in which students with disabilities who are provided
special education programs and/or services pursuant to Article 81 are provided
special education programs and/or services. If this school also operates an
approved preschool program for children with disabilities, this report requests
the count of preschool students provided preschool special education programs
and/or services pursuant to section 4410 of the Education Law, on December 1,
2006. If this school does not provide education services pursuant to Article 81
to students who are placed in a child care institution, connected to this
school, by the courts or other agencies please do not complete this PD-2A/4
report, instead, complete a PD-2 report. Please call our office to request a
PD-2 form. This report is due in the State Education Department between December
1, 2006 and December 15, 2006 and should be submitted to:

New York State Education Department
Office of Vocational and Educational Services for Individuals with Disabilities
Strategic Evaluation Data Collection, Analysis and Reporting
Room 1613, One Commerce Plaza
Albany, New York 12234

To be counted in this report, each student with a disability, on December 1,
2006, must meet both of the following criteria:

The student must be placed in your school and your school must implement the
student’s Individualized Education Program (IEP) on December 1, 2006. A student
with a disability whose placement in your school is discontinued before December
1, 2006, may not be included in the count for your school. A student who is
initially placed in your school and provided special education after December 1,
2006 may not be included in the count for your school.

The student must be placed in your school by a New York State public school
district, or placed by a court or other agency in a child care institution
connected to your school and be provided special education programs and/or
services pursuant to Article 81, in accordance with State standards.

Federal law and regulation require that State and local education agencies
ensure an unduplicated count of students with disabilities. Before submitting
the PD-2A/4 report, please complete local verification procedures to ensure that
each student is counted only once. Such verification procedures may include
visual scans, computer scans or other methods; and are especially important for
campuses having several school buildings and for students receiving multiple
special education programs and/or services.

The New York State Education Department (NYSED) will confirm the accuracy of
information included in this report as part of the program review process, or as
is otherwise indicated. To facilitate such review for your school, please
maintain a list (hard copy or other readily retrievable format) of all students
included in this child count until June 30, 2014. Upon completing local
verification procedures, if it is determined that one or more counts are
incorrect, a revised report (i.e., PD-2A/4 form) must be submitted to SED.

Compared to the PD-2A/4 report for 2005-2006, the PD-2A/4 report for 2006-2007
has been modified in the following ways:

Section B, Table 3 has been added to collect population and poverty counts to
be used in the determination of the amount of federal allocation for this school
for the 2007-08 school year.

Section C, Reports 1-15 have been revised to include a Table 3 to collect the
number of students with disabilities who are incarcerated in correctional
facilities, home-schooled, or parentally placed in nonpublic schools. In
previous years these students were reported in Tables 1 or 2 of Reports 1-15.

Section C, Report 15 has been split into Report 15A for school-age students
with disabilities ages 4-5 and 15B for students with disabilities ages 6-21.

Section C, Report 16A and 16B have been added to collect the number of
school-age students with disabilities ages 4-5 and 6-21, respectively, in each
educational setting by gender and limited English proficient status.

Section C, Reports 17A and 17B request data for school-age students with
disabilities ages 4-5 and 6-21, respectively, by disability and race and
ethnicity.

Schools are provided an option to report some students as “multi-racial – not
of Hispanic Origin.” This is an optional reporting category. However, if
students are reported in this category on the Basic Education Data System (BEDS)
enrollment form, they must be reported in this category on the PD-2A/4 report.
In the future, after advance notification, schools will be asked to report each
student’s unique race/ethnicity composition according to the new federal
reporting categories. For description of the new proposed categories, see the
Federal Register at
http://www.ed.gov/legislation/FedRegister/other/2006-3/080706.d.pdf.

Please note that the data collected through the PD forms are used in the
following reports and activities:

State Performance Plan and Annual Performance Report for Special Education

Public reporting of Local Education Agency (LEA) results against State targets
established in the State Performance Report.

Calculation of minimum amount of per-pupil IDEA funds to be sub-allocated or
spent on services.

Pocketbook of Goals and Results for Individuals with Disabilities

Chapter 655 Report to the Governor and the Legislature on the Status of the
State’s Schools

If you have any questions or are in need of assistance in completing this
report, please contact the Strategic Evaluation Data Collection, Analysis and
Reporting (SEDCAR) Unit by using the contact information provided in the
letterhead. Thank you.

Attachment

The University of the State of New YorkTHE STATE EDUCATION DEPARTMENTOffice of Vocational and Educational Services for Individuals with Disabilities
(VESID)Strategic Evaluation Data Collection, Analysis and ReportingOne Commerce Plaza - Room 1613Albany, NY 12234-0001

PD-2A/4- Special Act School Districts and In-State Approved Private Schools
that Provide Special Education Programs and/or Services to Students with
Disabilities Pursuant to Article 81 of the Education Law Report: Number of
Students with Disabilities Provided Special Education on December 1, 2006 and
the Settings in Which Special Education Programs and/or Services are Provided.

Instructions:

Return one copy of this report between December 1 and December
15, 2006 to the above address. (This report may not be signed or
submitted prior to December 1, 2006.)

Retain one copy (and supporting documentation) in your school for
reference and audit purposes. The required retention period ends
June 30, 2014.

If you have questions about this report, please call (518)
474-7965 or e-mail your questions to
dataquest@nysed.gov

School Information

Contact Person Information*

NAME

TITLE

TELEPHONE

FAX

E-MAIL
ADDRESS

*All correspondence from SEDCAR will be directed to the contact person identified in the PD web
based data entry system at http://pd.nysed.gov. Please keep the contact person information current,
including the e-mail address as most communication will occur via e-mail.

Certification and Assurances

I have reviewed the information reported on this form and certify that this
is a complete and accurate count of New York State students with disabilities
served on December 1, 2006. I further certify that the students reported were
placed in this school by New York State school districts, or by the courts or
other agencies in a child care institution connected with this school and are
provided special education programs and/or services pursuant to Article 81 of
the Education Law. Also, all special education programs and/or services are
provided in accordance with Individualized Education Programs and in accordance
with State standards.

__________________________Original Ink Signature

___________________Date Signed

Chief Administrative Officer Must Sign and Date on
or after December 1, 2006

__________________________________Name of
Chief School Administrative Officer(Please Type or Print)

Instructions and Definitions for Completing the PD-2A/4 Report

Approved private schools that do not provide educational services pursuant
to Article 81, on December 1, 2006, should not complete this PD-2A/4 report.
Instead, a PD-2 report should be completed and may be requested by calling our
office.

Wherever information is requested regarding students' race/ethnicity, please
use the following definitions to assist you in determining the most appropriate
category for reporting students:American Indian/Alaskan Native: A person having origins in any of the original
peoples of North and South America (including Central America) and who maintains
tribal affiliation or community attachment.Asian or Pacific Islander: A person having origins in any of the original
peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific
Islands, including, for example, Cambodia, China, India, Japan, Korea, Malaysia,
Pakistan, the Philippine Islands, Thailand, and Vietnam. The Pacific Islands
include Hawaii, Guam, and Samoa.Black or African American (not of Hispanic origin): A person having origins in
any of the Black racial groups of Africa.Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central
American, or other Spanish culture or origin, regardless of race.White (not of Hispanic origin): A person having origins in any of the original
peoples of Europe, the Middle East, or North Africa.Multi-Racial (not of Hispanic origin): This is not a required reporting
category, however, if schools report students in this category on the fall 2006
Basic Education Data System (BEDS) enrollment report, they must report students
in the same category in this report. The definition of this category is, a
person having origins in two or more of the categories of people classified as
American Indian or Alaska Native, Black or African American (not of Hispanic
Origin), Asian or Pacific Islander, or White (not of Hispanic Origin). Note: Any
person of Hispanic of Latino origin, in whole or in part, should be reported as
Hispanic or Latino.

Wherever students are to be reported by age, please report age as of December
1, 2006.

If specific instructions for some tables are not provided below, they are
included with each table of the PD-2A/4 form.

Directions and Definitions for Section C, Reports 1-14

Section C, Reports 1-14: There are three tables for each disability category-
Table 1, Table 2, and Table 3. These tables request placement information for
all school-aged students with disabilities, ages 4-21, who are the
responsibility of your CSE and are provided school-age special education
programs and/or services on December 1, 2006. Only include in these tables
students with disabilities who are placed by the courts or other agencies in a
child care institution connected to this school and are provided special
education programs and/or services pursuant to Article 81 of the Education Law.
Table 1: Report the number of students with disabilities who are educated in
regular school buildings and removed from regular classes for "Less than 20%",
"21% to 60%", or "More than 60%" of the school day or school week. "Regular
school buildings" are buildings for both disabled and nondisabled school-age
students. "Regular classes" are classes for both disabled and nondisabled
school-age students. Time outside of regular classroom is a measure of the
extent of removal from the regular classroom setting, NOT of the total amount of
special education programs and/or services provided. It is the percent of each
school day or week that a student receives special education including related
services, apart from nondisabled students while within a regular school
building. For purposes of these data collection, students in the following
settings should be reported in Table 1 (regular school buildings):

All Special Act School buildings that are attended by both disabled and
nondisabled school-age students.

All approved private school buildings that are attended by both disabled and
nondisabled school-age students.

Students who attend regular school buildings for at least 50 percent of the
school day or school week, even though they may attend programs in separate
settings, which include only students with disabilities for the rest of the day
or week.

All age appropriate community-based settings that include individuals with and
without disabilities, such as vocational sites, in which students with
disabilities interact with nondisabled individuals other than nondisabled
individuals who are providing services to the students.

In order to determine the percent of time students receive services outside
regular classrooms (i.e., in rooms/groupings attended by students with
disabilities only), it is important to consider where the service is provided
rather than the type of service that is provided. To calculate the percentage of
time outside the regular classroom, divide the number of hours the student
receives special education programs and/or related services outside the regular
classroom each day or week by the total number of hours in the school day or
school week. Use the length of the entire school day, including all periods and
lunch. The following examples are provided for purpose of clarification:

A student who attends a resource room for one period each day in which special
education programs and/or services are provided to a group of students with
disabilities would be counted in Table 1, Line 1 since one period outside of
regular classroom would constitute 20 percent or less of the school day.

A student who is assigned a full-time, one-to-one teacher aide, but who
attends regular classrooms for 80 percent or more of the school day should be
included in Line 1 of Table 1.

A student who receives special education programs and/or services for two
hours per day outside of regular classrooms would be reported on Table 1, Line
2. If the two hours of special education programs and/or services are provided
in the regular classroom, the student should be reported in Table 1, Line 1.

A student whose first period begins at 8:30 a.m. and last period ends at 2:30
p.m. would have a six-hour day or 30-hour week. If the student attended a
special class for four 45-minute periods daily and participated in the general
education environment for the remainder of the day, that student’s “time outside
regular classroom” would be 15.0 hours per week or 50 percent of the week. Such
a student would be reported in Table 1, Line 2.

Special education programs and/or services provided outside the normal school
day (e.g., before school or after school) should not be considered time outside
the regular classroom, regardless of the type of services or where they are
provided. Such students should be counted in Table 1, Line 1.

Students with disabilities who receive special education programs and/or
services in regular classes that include nondisabled students should be reported
in Table 1. This includes regular classrooms in which consultant teachers
provide special education programs and/or services or regular classes in which
special class programs are located.

Table 2: Report the number of students with disabilities who are educated in
separate education settings. These are settings that are attended by students
with disabilities only. The definition of each separate education setting
follows:

Special Public Day Schools - Public day schools that are attended by students
with disabilities only. These schools include public school district or BOCES
buildings that are attended by students with disabilities only. These schools
also include Special Act School Districts if they are attended on a day school
basis, and if they include students with disabilities only.

Special Private Day Schools - Approved private schools for students with
disabilities that are attended by students with disabilities only, on a day
basis.

Public Residential Facility - A public facility in which the student resides,
placed by the courts or other agencies, and attends an education program
affiliated with the facility, in buildings that serve only students with
disabilities. Public residential facilities include the Special Act School
Districts for students who reside in facilities affiliated with these schools.
Students with disabilities who reside in Child Care Institutions but are
provided special education programs and/or services in buildings, which include
disabled and nondisabled students, should be reported in Table 1.

Private Residential Facility - A private facility in which the student resides,
placed by the courts or other agencies and attends an education program
affiliated with the facility, in buildings that serve only students with
disabilities. Private residential facilities include approved private schools
with a residential component. Not all students residing in such facilities will
be reported in this category; if students with disabilities receive special
education programs and/or services in buildings that include disabled and
nondisabled students, such students are to be reported in Table 1.

Home - Use this setting if the approved private school’s Committee on Special
Education has determined that the most appropriate educational placement for the
student is in the student’s residence (or “home”), and not in a school setting.

Hospital or Other Non-School - These are settings in which students with
disabilities are provided special education programs and/or services based on
their unique needs.

Table 3: Report the number of students with disabilities for whom the school
district has CSE responsibility and who are educated in the specific settings
described below.

Incarcerated in Correctional Facilities - Use this setting to report students
with disabilities who are incarcerated in county correctional facilities, secure
detention facilities or in State correctional facilities.

Home Schooled - Use this setting to report students with disabilities who are
home-schooled at parent choice, but who are provided special education programs
or services at public expense.

Parentally Placed in Non Public Schools - Use this setting to report students
with disabilities who are parentally placed in non-public schools at private
expense, but who are provided special education services at public expense.

Check here if no preschool students with disabilities are provided special
education programs and/or services in your school/agency on December 1, 2006
pursuant to Section 4410 of the Education Law. If so, skip Section A.

Check here if no school-age students with disabilities are provided special
education programs and/or services in your school/agency on December 1, 2006. If
so, skip Sections B and C.

If both boxes are checked, your PD-2A/4 report is complete. Please
complete page 1 and return the entire from to the address printed on the top of page 1.

Table 1: If this school/agency operates an approved
preschool special education program pursuant to section 4410 of the
Education Law, in Line 1 report the number of preschool children
provided full-time or part-time special class programs and/or special
education itinerant teacher (SEIT) services on December 1, 2006. In Line
2, report the number of preschool children provided related services
only on December 1, 2006. If children are provided related services as
well as special class services and/or SEIT services, they should be
included in Line 1 only. Report children by age as of December 1, 2006.

Do not include preschool children receiving evaluation services only in
this table.

Please note that for students receiving itinerant services and/or
related services from more than one approved preschool special education
program, only the program that provides itinerant services or is
designated by the CPSE to coordinate all related services must count the
students in this report.

Line No.

Type of Preschool Special
Education Service

Ages 3-4*

Age 2**

1

Count on December 1, 2006 of preschool children provided
full-time or part-time special class services or special education
itinerant teacher (SEIT) services pursuant to section 4410 of the
Education Law. If children receive special class or SEIT services as
well as related services, count them in this line, not in Line 2.

2

Count on December 1, 2006 of preschool children provided
related services only pursuant to section 4410 of the Education Law.

3

Total

*Students who are 5 years of age on December 1 are “school-age” children and
must be reported in Section B of this report and not in Section A.
**Students who are 2 years old on December 1, 2006 (who will turn 3 years of age
by December 31, 2006) and are receiving preschool special education programs
and/or services, pursuant to section 4410 of the Education Law, should be
included in the column for students age 2.

Table 1: Provide an unduplicated count of all school-age
students with disabilities (from New York State) provided special
education, on December 1, 2006, by this school/agency.

Line No.

Report Each Student Only Once

Ages 4-21*

1

Count of school-age students with disabilities placed in
this school/agency by public school districts through a contract.

**

2

Count of school-age students with disabilities placed in
a child care institution connected to this school/agency and provided
special education programs and/or services pursuant to Article 81 of the
Education Law. The number entered for this line must match the number of
students reported in Section C, Report 14.

3

Total of Lines 1 and 2: This count is the total count of
New York State school-age students with disabilities served in this
program.

*Only include 4-year-old students if they are in your school-age program.
Students are eligible to enroll in school-age (kindergarten) programs if they
become five years old by December 1 or by a later date established by the
school/agency. For example, if a student’s birthday is on December 5, 2001, and
the school/agency policy for admission to school is “five years of age by
December 31”, the student could be enrolled in the Kindergarten program and be 4
years old on December 1, 2006.
**This cell must contain the identical information reported in Section B: School
District Placements of School-age Students with Disabilities, Line No. 14
(below).

Section B: School District Placements of School-age Students with Disabilities

Table 2: For students reported in
Section B, Table 1, Line 1 above; provide the same count by age and
disability. Please report students according to their actual age on
December 1, 2006 (i.e., a student who is 12 years and 10 months on
December 1, 2006 is counted as age 12). Any student having both Deafness
and Blindness must be reported as “Deaf- Blindness” on Line 12.

Line No.

Disability Category

Number of Students by Age on
December 1, 2006

4-5 Years

6-11 Years

12-13 Years

14-17 Years

18-21 Years

Total

1

Autism

2

Emotional Disturbance

3

Learning Disability

4

Mental Retardation

5

Deafness

6

Hearing Impairment

7

Speech or Language Impairment

8

Visual Impairment (includes Blindness)

9

Orthopedic Impairment

10

Other Health Impairment

11

Multiple Disabilities

12

Deaf-Blindness

13

Traumatic Brain Injury

14

Total – Lines 1 through 13

**

* Only include 4-year-old students if they are in your school-age program.
See asterisk under Section B, Table 1.
**This cell must contain the identical information reported in Section B:
School-age Special Education Programs and/or Services, Line No. 1 (above).

Section B: Population and Poverty Counts

Table 3: The numbers provided in this
table will be used to determine a portion of this school’s federal aid
allocation under IDEA, under Sections 611 and 619.

1

Line 1: Provide the total enrollment of all
school-age students (disabled and nondisabled) who were provided
educational services in Kindergarten through grade 12 programs, on
December 1, 2006. Do not include individuals who are of school-age but
are not enrolled in a special education and/or general education
program.

2

Line 2: Of the students reported in Line 1, provide the
number of students who were eligible to receive a free or reduced price
lunch.

Section C: Settings in Which Students are Provided Educational Services
Pursuant to Article 81 of the Education Law by Disability, Race/Ethnicity,
Gender and Limited English Proficiency

Directions: Please review directions and definitions for completing reports
1-14 beginning on page 2. In all the reports in this section, only include
students with disabilities who are provided educational services pursuant to
Article 81 of the Education Law. The total number of students reported in
reports 1-13, in reports 15A and 15B, in reports 16A and 16B and in reports 17A
and 17B must be equal to the total number of students reported in Section B,
Table 1, Line 2.

Report 1: Report of Students with Autism Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 2: Report of Students with Emotional Disturbance Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 3: Report of Students with Learning Disabilities Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 4: Report of Students with Mental Retardation Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 5: Report of Students with Deafness Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 6: Report of Students with Hearing Impairments Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 7: Report of Students with Speech or Language Impairments Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 8: Report of Students with Visual Impairments Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 9: Report of Students with Orthopedic Impairments Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 10: Report of Students with Other Health Impairments Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 11: Report of Students with Multiple Disabilities Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 12: Report of Students with Deaf-Blindness Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 13: Report of Students with Traumatic Brain Injury Placed as of December 1, 2006

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 14: Summary Report of All Students with Disabilities Placed as of December 1, 2006

The three sections below aggregate the data reported in Reports 1 to 13 to
facilitate State and local data verification procedures. Completing these tables
will facilitate the reporting of race/ethnicity, gender, and limited English
proficiency data in Reports 15A, 16A and 16B, 17A and 17B.

Table 1: In Regular School-Based Programs in buildings attended by disabled and
nondisabled students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are
attended by students with disabilities only. In Line 5, include students who are placed on home instruction by the CSE.
Students who are home-schooled by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Age Group

4-5

6-11

12-13

14-17

18-21

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 15A: Report of All School-Age Students with Disabilities Placed as of December 1, 2006,
According to Race/Ethnicity Category and Type of Placement – Ages 4-5

For all students reported in Tables 1, 2 and 3 of Report 14 in Column A
(age group 4-5), enter the number, which appear to belong, identify with, or are regarded in the
community as belonging to each race/ethnic group. (Each student should be counted once.) The Total
(Column G) for each Line in this Report must match the number reported in Column A of each corresponding
Line in Report 14.

Table 1: In Regular School-Based Programs in buildings attended by disabled and nondisabled
students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

G

Race/Ethnicity of School-Age
Students Ages 4-5

American
Indian or
Alaska
Native

Asian or
Pacific
Islander

Black (Not
of Hispanic
Origin)

Hispanic
or Latino

White (Not
of Hispanic
Origin)

Multi-
Racial (Not
of Hispanic
Origin)

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities,
in buildings that are attended by students with disabilities only. In Line 5, include
students who are placed on home instruction by the CSE. Students who are home-schooled
by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

G

Race/Ethnicity of School-Age
Students Ages 4-5

American
Indian or
Alaska
Native

Asian or
Pacific
Islander

Black (Not
of Hispanic
Origin)

Hispanic
or Latino

White (Not
of Hispanic
Origin)

Multi-
Racial (Not
of Hispanic
Origin)

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Race/Ethnicity of School-Age
Students Ages 4-5

American
Indian or
Alaska
Native

Asian or
Pacific
Islander

Black (Not
of Hispanic
Origin)

Hispanic
or Latino

White (Not
of Hispanic
Origin)

Multi-
Racial (Not
of Hispanic
Origin)

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 15B: Report of All School-Age Students with Disabilities as of December 1, 2006,
According to Race/Ethnicity Category and Type of Placement – Ages 6-21

For all students reported in Tables 1, 2 and 3 of Report 14 in Columns B-E
(age group 6-21), enter the number, which appear to belong, identify with, or are regarded in the
community as belonging to each race/ethnic group. (Each student should be counted once.) The Total
(Column G) for each Line in this Report must match the number reported in Column
B-E of each corresponding
Line in Report 14.

Table 1: In Regular School-Based Programs in buildings attended by disabled and nondisabled
students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

G

Race/Ethnicity of School-Age
Students Ages 6-21

American
Indian or
Alaska
Native

Asian or
Pacific
Islander

Black (Not
of Hispanic
Origin)

Hispanic
or Latino

White (Not
of Hispanic
Origin)

Multi-
Racial (Not
of Hispanic
Origin)

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities,
in buildings that are attended by students with disabilities only. In Line 5, include
students who are placed on home instruction by the CSE. Students who are home-schooled
by parent choice should be reported in Table 3.

Line Number

Type of Setting

A

B

C

D

E

F

Race/Ethnicity of School-Age
Students Ages 6-21

American
Indian or
Alaska
Native

Asian or
Pacific
Islander

Black (Not
of Hispanic
Origin)

Hispanic
or Latino

White (Not
of Hispanic
Origin)

Multi-
Racial (Not
of Hispanic
Origin)

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Type of Setting

A

B

C

D

E

F

Race/Ethnicity of School-Age
Students Ages 6-21

American
Indian or
Alaska
Native

Asian or
Pacific
Islander

Black (Not
of Hispanic
Origin)

Hispanic
or Latino

White (Not
of Hispanic
Origin)

Multi-
Racial (Not
of Hispanic
Origin)

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Non-Public School

04

Total

Report 16A: Report of All School-Age Students with Disabilities as of
December 1, 2006, According to Gender and Limited English Proficiency (LEP)
Status – Ages 4-5

For all students reported in Tables 1, 2 and 3 in the 4-5 year old age
group of Report 14, enter the number, by gender and limited English proficient
status. The Totals (Columns C and F) for each Line in this Report must match the
Total (Column A) on each Line of Report 14.

Table 1: In Regular School-Based Programs in buildings attended by disabled and nondisabled
students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Gender for Ages 4-5

Limited English
Proficiency (LEP)
Status for Ages 4-5

Male

Female

Total

Yes

No

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities,
in buildings that are attended by students with disabilities only. In Line 5, include
students who are placed on home instruction by the CSE. Students who are home-schooled
by parent choice should be reported in Table 1.

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Gender for Ages 4-5

Limited English
Proficiency (LEP)
Status for Ages 4-5

Male

Female

Total

Yes

No

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Gender for Ages 4-5

Limited English
Proficiency (LEP)
Status for Ages 4-5

Male

Female

Total

Yes

No

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Nonpublic School

04

Total

Report 16B: Report of All School-Age Students with Disabilities as of
December 1, 2006, According to Gender and Limited English Proficiency (LEP)
Status – Ages 6-21

For all students reported in Tables 1, 2 and 3 in the 6-21 year old age group
of Report 14, enter the number, by gender and limited English proficient status.
The Totals (Columns C and F) for each Line in this Report must match the Total
of Columns B-E combined on each Line of Report 14.

Table 1: In Regular School-Based Programs in buildings attended by disabled and nondisabled
students

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Gender for Ages 6-21

Limited English
Proficiency (LEP)
Status for Ages 6-21

Male

Female

Total

Yes

No

Total

01

20% or less

02

21% to 60%

03

More than 60%

04

Total

Table 2: In Separate Settings Outside of regular school facilities,
in buildings that are attended by students with disabilities only. In Line 5, include
students who are placed on home instruction by the CSE. Students who are home-schooled
by parent choice should be reported in Table 3.

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Gender for Ages 6-21

Limited English
Proficiency (LEP)
Status for Ages 6-21

Male

Female

Total

Yes

No

Total

01

Special Public Day School

02

Special Private Day School

03

Public Residential Facility

04

Private Residential Facility

05

Home Placement

06

Hospital or Other Non-school

07

Total

Table 3: In Other Specific Settings. School districts do not place
students in these settings. Instead, students are in these settings because of
court decisions or parental choice.

Line Number

Time OUTSIDE Regular
Classroom

A

B

C

D

E

F

Gender for Ages 6-21

Limited English
Proficiency (LEP)
Status for Ages 6-21

Male

Female

Total

Yes

No

Total

01

Incarcerated in Correctional Facilities

02

Home Schooled at Parental Choice

03

Parentally Placed in Nonpublic School

04

Total

Report 17A: Report of All School-Age Students with Disabilities as of
December 1, 2006, According to Race/Ethnicity Category and Type of Disability – Ages 4-5

In the table below, report race/ethnicity data by disability and age group
4-5 for all students reported in Tables 1,2 and 3, age group 4-5 of Reports 1 to
13.

The total reported below in Column G for each disability must match the sum of
totals reported in Tables 1, 2 and 3 under the corresponding disability and age
group 4-5 in Reports 1 to 13. Also, the total reported in Line 14 for each
column must match the sum of corresponding columns of Tables 1, 2 and 3 of
Report 15A.

Line Number

Disability

Racial/Ethnic Group for Students Ages 4-5

A

B

C

D

E

F

G

American
Indian or
Alaska
Native

Asian
or
Pacific
Islander

Black
(Not of
Hispanic
Origin)

Hispanic
or Latino

White
(Not of
Hispanic
Origin)

Multi-
Racial
(Not of
Hispanic
Origin)

Total

01

Autism

02

Emotional Disturbance

03

Learning Disability

04

Mental Retardation

05

Deafness

06

Hearing Impairment

07

Speech or Language Impairment

08

Visual Impairment (includes Blindness)

09

Orthopedic Impairment

10

Other Health Impairment

11

Multiple Disabilities

12

Deaf-Blindness

13

Traumatic Brain Injury

14

Total (Lines 1-13)

Report 17B: Report of All School-Age Students with Disabilities as of
December 1, 2006, According to Race/Ethnicity Category and Type of Disability –
Ages 6-21

In the table below, report race/ethnicity data by disability and (age group
6-21) for all students reported in Tables 1,2 and 3 (age group 6-21) of Reports
1 to 13.

The total reported below in Column G for each disability must match the sum of
totals reported in Tables 1, 2 and 3 under the corresponding disability and age
group 6-21 in Reports 1 to 13. Also, the total reported in Line 14 of each
column must match the sum of corresponding columns of Tables 1, 2 and 3 of
Report 15B.

Line Number

Disability

Racial/Ethnic Group for Students Ages 6-21

A

B

C

D

E

F

G

American
Indian or
Alaska
Native

Asian
or
Pacific
Islander

Black
(Not of
Hispanic
Origin)

Hispanic
or Latino

White
(Not of
Hispanic
Origin)

Multi-
Racial
(Not of
Hispanic
Origin)

Total

01

Autism

02

Emotional Disturbance

03

Learning Disability

04

Mental Retardation

05

Deafness

06

Hearing Impairment

07

Speech or Language Impairment

08

Visual Impairment (includes Blindness)

09

Orthopedic Impairment

10

Other Health Impairment

11

Multiple Disabilities

12

Deaf-Blindness

13

Traumatic Brain Injury

14

Total (Lines 1-13)

Report 18: Report of Students with Disabilities who are 14 to
21 Years of Age as of December 1, 2006 According to Race/Ethnicity Category.

(These students are also reported in Reports 15B,16B and 17B of this report.)

In the table below, report race/ethnicity data for students with disabilities
ages 14-21 for whom the school district has CSE Responsibility. The total number
of students reported in Column G of this report must be the same as the total
number of students reported in Report 14, Tables 1, 2, and 3 in Columns D and E
combined.